Organization
NORTHERN INDIANA ANESTHESIA ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF PERRY (MANAGER)
(502) 418-4700
Entity
Organization
Contact information
Practice address
53830 GENERATIONS DR, SOUTH BEND, IN 46635-1557
(574) 217-0174
Mailing address
PO BOX 737897, DALLAS, TX 75373-7897
(888) 717-5383
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
08/03/2023
Last updated
07/23/2025
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